2009-498 �~ TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CER TIFICATE F COMPLIAN- CE
Permit Number, P20090498 Date Issued: Monday, November 09, 2009
This is to certify that work requested to be done as shown by Permit Number P20090498
has been completed.
Tax Map Number. 523400-295-018-0001-063-000-0000
Location: 13 K.ILEY Ln
Owner. CARL &HELEN VIELE
Applicant: CARL & HELEN VIELE
This structure maybe occupied as a:
Septic Alteration Residential
By Order of Town Bowl
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, W //W
Variance,or other issues and conditions as a result of approvals by the Director of Building&CoWnfol4ment
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090498 Application Number. A20090498
Tax Map No: 523400-295-018-0001-063-000-0000
Permission is hereby granted to: CARL&HELEN VIELE
For property located at: 13 KILEY Ln
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: CARL&HELEN VIELE
13 KILEY Ln Septic Alteration Residential
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-498
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, October 15, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town`of Queergbury; Thgrsday, October 15,2009
SIGNED BY a for the Town of Queensbury.
Director of Building&Code Enforcement